Evaluation and Management Services Guide

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The Evaluation and Management (E/M) Services Guide from CMS is a comprehensive reference for understanding how to document, code, and bill E/M services under the Medicare Physician Fee Schedule. Updated for 2024, this guide reflects the latest changes in CPT codes, documentation requirements, and billing rules—including updates from the 2024 Medicare Physician Fee Schedule Final Rule.

This resource is essential for healthcare professionals who want to ensure accurate reimbursement and compliance with Medicare regulations. It covers a wide range of E/M scenarios, including office visits, hospital care, prolonged services, telehealth, and split/shared services. The guide also includes practical examples, coding tips, and references to HCPCS and ICD-10 codes.

Full Description

The Evaluation and Management (E/M) Services Guide from CMS is a comprehensive reference for understanding how to document, code, and bill E/M services under the Medicare Physician Fee Schedule. Updated for 2024, this guide reflects the latest changes in CPT codes, documentation requirements, and billing rules—including updates from the 2024 Medicare Physician Fee Schedule Final Rule. This resource is essential for healthcare professionals who want to ensure accurate reimbursement and compliance with Medicare regulations. It covers a wide range of E/M scenarios, including office visits, hospital care, prolonged services, telehealth, and split/shared services. The guide also includes practical examples, coding tips, and references to HCPCS and ICD-10 codes.

Additional information

Contributor

Centers for Medicare & Medicaid Services (CMS)

Format

Article

Future Review Date

July 2027

Length

24 Pages

Source

CMS

Publication Date

September 2024